Dr. (Col) GAURAV KAPOOR

Dr. SANKALP SETH, Dr. SANJAY KUMAR DHAR

Abstract

Posterior polar cataract is a dominantly inherited disorder with positive family history in 40–55% and it is bilateral in 65–80%. A number of surgical techniques and approaches have been defined for improving surgical outcomes. This was a Prospective study in which 46 eyes of 38 patients with posterior polar cataract underwent phacoemulsification with PCIOL implantation. The following parameters were used during surgery, vacuum 150–200 mmHg, bottle height – 50–70 cm and power varied from 20 to 30. 6 had a PCR, two of which were patients with bilateral polar cataracts. No patient with bilateral posterior cataract had a PCR in both eyes. No vitreous loss was present except in one case, which required anterior vitrectomy . Our surgical approach adopted the use of Simcoe cannula for irrigation aspiration (IA), which we feel, is one of the major factor contributing to a lower incidence of PCR. Our case series reported a PCR rate of 13.04%, which is in the reported range of 6–36% worldwide.